Policy Number:
ACORD
Nee
CERTIFICATE OF LIABILITY INSURANCE
Date Entered: 9/27/2021
DATE (MM/DD/YYYY)
9/27/2021
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT:
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
PRODUCER NOME’
DiTullio Insurance Agency, Inc. PHONE FAX
(AIG, No, Ex; (617) 696-4656 (AIG, No; (617) 696-4650
424 Adams Street, Suite 101 EMAIL = —
ADDRESS:
Milton, MA 02186-4358
INSURER(S) AFFORDING COVERAGE NAIC #
INSURERA; CONTINENTAL CASUALTY COMPANY
INSURED NESRA ENGINEERING, LLC INSURERB; TRAVELERS CASUALTY AND SURETY CO. OF AME
INSURERC:
170 BUNGAY ROAD INSURERD:
NORTH ATTLEBORO, MA 02760 INSURERE:
INSURERF:
COVERAGES CERTIFICATE NUMBER:
REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR ADDL|SUBR POLICY EFF POLICY EXP
LTR TYPE OF INSURANCE Insp | wvD POLICY NUMBER (MM/DDIvYYY) |_(MM/DDIYYYY) LIMITS
A S| COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE gs 2,000,000
DAMAGE TO RENTED
| CLAIMS-MADE (XI OCCUR x B 4030579388 4/1/2021 4/1/2022 PREMISES (Ea occurrence) s 300,000
MED EXP (Any one person) $ 10,000
PERSONAL & ADV INJURY $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 3 4,000, 000
PRO-
POLICY [ ] JECT [ ] Loc PRODUCTS - compiop AGG | § 4,000,000
OTHER: 8
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY (Ea accident) $ 1,000,000
A ANY AUTO B 4030579388 4/1/2021 4/1/2022 BODILY INJURY (Per person) | $
OWNED SCHEDULED ,
AUTOS ONLY AUTOS BODILY INJURY (Per accident) | $
HIRED NON-OWNED PROPERTY DAMAGE 3
AUTOS ONLY AUTOS ONLY (Per accident)
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE §
EXCESS LIAB CLAIMS-MADE AGGREGATE &
DED | | RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY YIN STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT &
OFFICER/MEMBER EXCLUDED? [| NIA
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE| $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT | $
B | PROFESSIONAL 107244659 4/4/2020 4/4/2022 LIMIT OF INS.
LIABILITY POLICY PER CLAIM: $2,000,000
AGGREGATE : $2,000, 000
DESCRIPTION OF OPERATIONS /LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
OPERATIONS USUAL TO THE NAMED INSURED.
RE: CONCEPTUAL FIELD STUDY FOR MINE FALLS PARK ATHLETIC AREA, RFP0651-091421
THE CITY OF NASHUA, NH IS INCLUDED AS ADDITIONAL INSURED FOR GENERAL LIABILITY IF REQUIRED BY A SIGNED
WRITTEN CONTRACT WITH THE NAMED INSURED.
30 DAYS NOTICE OF CANCELLATION APPLIES TO ALL POLICIES EXCEPT FOR CANCELLATION FOR NON-PAYMENT,
A 10 DAY NOTICE WILL APPLY.
CERTIFICATE HOLDER
CANCELLATION
THE CITY OF NASHUA
229 MAIN STREET
CITY HALL
NASHUA, NH 03060
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
4
DITULLIO INSURANCE AGENCY t
ACORD 25 (2016/03)
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